A case of life-threatening post-operative diffuse alveolar hemorrhage in patient with recent chemotherapy -A case report-

oleh: Mi-Young Kwon, Yoon Kyung Lee, In-Cheol Choi, Eun Ho Lee, Nam-Yun Kim, Young-Jae Chang

Format: Article
Diterbitkan: Korean Society of Anesthesiologists 2011-03-01

Deskripsi

A 53-year-old woman who had undergone total gastrectomy and received adjuvant chemotherapy two months ago underwent adhesiolysis of the small bowel. She presented with sudden desaturation and dyspnea of unknown etiology at postanesthetic care unit. Following ET intubation, the endotracheal tube suction revealed massive hemoptysis. Bilateral lung infiltrated on her chest radiograph and bronchofibroscopic examination disclosed a diffuse hemorrhage on both lung fields without bleeding focus. These findings were consistent with diffuse alveolar hemorrhage (DAH) syndrome. As per our knowledge and search, this is the first reported case of DAH that occurred during the recovery period immediately after general anesthesia. DAH is known to have a high mortality rate and an early detection followed by adequate treatment is essential.